Individual
MARCUS SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 SAUGATUCK RD, MONTGOMERY, IL 60538-2441
(815) 341-1663
Mailing address
87 SAUGATUCK RD, MONTGOMERY, IL 60538-2441
(815) 341-1663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227020494
IL
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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